Individual
DR. KATHARINE M MUNN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
104 WHALON ST, FITCHBURG, MA 01420-7128
(978) 342-4280
(978) 343-4593
Mailing address
104 WHALON ST, FITCHBURG, MA 01420-7128
(978) 342-4280
(978) 343-4593
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
20031
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20031
STATE LICENSE NUMBER
MA
Enumeration date
10/04/2005
Last updated
07/08/2007
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